Western Boys Lacrosse 2020/2021 Signup
Please fill out an individual form for each player. If you have any questions,
please contact Nicole P. at (754) 264-2249.
Athletes First & Last Name: *
Athletes Date of Birth: *
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Athletes Grade Level: *
Athletes Email Address: *
Athletes Phone Number: *
Top 3 Jersey Number Choices *
Do you have a gold helmet? If no, do you want to purchase one? (Not necessary, we have free ones to borrow) They cost about $285 + shipping: *
Do you have a Western Gear Bag? If no, do you want to purchase one? (Not necessary, we have free ones to borrow) They cost about $70 + shipping: *
Parent 1: First & Last Name *
Parent 1: Email Address *
Parent 1: Phone Number *
Parent 2: First & Last Name
Parent 2: Email Address
Parent 2: Phone Number
Are you a returning player? *
Player T-Shirt Size: *
Player Shorts Size: *
Does this player have any medical or dietary needs? (Including but not limited to Food Allergies, Gluten Free, Vegetarian, Vegan, etc.) If no, please write N/A. If yes, please list all necessary items below: *
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